Authorization Specialist II

Job Summary

A company is looking for an Authorization Specialist - Remote.

Key Responsibilities

• Obtain and track authorizations/re-authorizations for patients according to insurance policies
• Initiate Peer to Peers with payers and collaborate with providers to secure letters of Medical Necessity
• Monitor authorization work queue and troubleshoot authorization denials

Required Qualifications

• Associate degree preferred
• Certification in CCS, CCS-P, CPC, or specialty coding preferred
• Surgical Authorization experience required, with Ortho and Vascular experience highly preferred
• Three or more years of experience in a healthcare environment, preferably with prior authorization experience
• Strong understanding of HIPAA laws, managed care, and third-party payer requirements